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Liver and Cardiac Disease
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Liver and Cardiac Disease

My husband was diagnosed with cirroshis of liver from alcohol.  He now has cardiac eschemia also.  Some other problems he has are encelopathy.  He takes numerous medications for these.  Now he gets very lethargic sometimes.  Does anyone else experience these symptoms and what do your doctors say?
Avatar dr f tn
Hello and hope you are doing well.
Hepatic encephalopathy is the hallmark of fulminant hepatic failure. There are many intellectual and personality changes in encephalopathy which are due to the inability of the diseased liver to metabolize neurotoxins. These accumulate in the brain affecting neurotransmitters. Nutritional therapy may be beneficial .In acute encephalopathy temporary protein restriction may be needed but must not last longer than 48 h. Oral supplementation with BAA (branched amino acid), supplementation with fiber or diets with vegetable proteins, which bring high fiber content and less Aromatic amino acids AA, slows the progression of liver disease and improves survival and quality of life. Cardiac ischemia can be due to hypoxia, cardiac disease, myocardial infarction, arrhythmias etc.Lethargy can be due to cirrhosis or heart problem. Have a frank discussion with his doctor. I sincerely hope it helps.
Best wishes and regards!
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